License Verification

Printer Friendly Version

CAITLYN ANDERSEN

License Number: PA9112642

Data As Of 12/23/2024

Profession
Physician Assistant
License
PA9112642
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
10/01/2019
Address of Record
3801 S Kanner Hwy
Suite 200
STUART, FL 34994
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
10000 SW Innovation Way
PORT SAINT LUCIE, FL 34987
Address
3801 S Kannet Hwy Suite 200
STUART, FL 34994
Address
10080 Innovation Way Suite 201 Tradition Health Prk II
PORT ST. LUCIE, FL 34987
Name Relationship Profession License Effective Date
FOREST, ERIN ELIZABETH Supervising Prescribing Practitioner Medical Doctor 125654 10/18/2019
PANATTONI FILHO, JOAO BOSCO REZENDE Supervising Prescribing Practitioner Medical Doctor 135226 10/18/2019

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner

Name Relationship Profession License Effective Date

Click on the License Number to view License Details for that Practitioner



No Continuing Education Hours Received from Approved Providers As Of 12/23/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.